Mobile Home_Ostrander eCLAIM FOR HOMESTEAD PROPERTY TAX FORM i YEAR
CREDIT/STANDARD DEDUCTION ppp , H , •v,LL State Form 5473(R6/M3)
Prescribed by the Depvtrrte tt of Local Govxrm eM Faience
INSTRUCTIONS:See 1eve=aids fro Erg itstruc6cn&
E+-.!xTU ir. .' s"r!?,.W''-.t.tre:xe Fi ,�`!h. fi- 'c ACTION STATEN �f may. .�.,.FEB O 3 2006 ,k7Z...-
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I(We) el Aj Mali 11 /. certity ikoatta;Sey of March,20_
I(We)occupied as our principal p13./if residence the following described real property for which a o GIUSOPrCPO�Tx AUDI AUDITOR'
claimed:
❑ I(We)owned ❑ Are buying under contract
\ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
'.•rN s`* . Gir.a7"=`y '" `. u'1r.''- : n CONTRACT.'RECORDED '- ^-- #f - ' `A.i "_.ti:r s 9 $,r':.'$ ='•v;.",• a ti?
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
-?"='`c gfi.ak iLArt e sYr'r±. 5(!,ROPERT.Y.bESCRIPTIONYa Ffrsf.: FV s' 14 ."�`.`c `'-?i�'{4`_3: c4
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County Township Taring district(city,town,to ip) _r}_
9 (D (ti/bay�l/Cgv"r
Parcel du, �/� ��pp�� Legal description Is the properly in question:
qi -()Oa-CZ) ❑ Real property obile Homo(/.C.6-1.1-7)
0 any••rtion of the residential structure or the land not exceeding one(1) cre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
a 001 1.;.44 ark (lei it
..-4�., - �..,-°.;.r�trteil-ffAVIP,ROP.ERTX-:OWNED'.81!CL'AIMANT;IN OTHER'COUNTIESf+wW7A;W:Fi ;=. %.�°i?."1'"�s°• mss
County Township County Township
I hereby certify the above statements are true,correct and complete. Stun f0.17/177,2
to
(( IZ4 street,yiq,slate.2lPs 4. / at dl�- tvoi 4
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�'+�"-. '� r`'�Se° -�: Vic. • TRUETAX X ASSESSED VALUE �HOMESTEADT, ''` NON-RESIDENTULL�y �n
t Sc.' 4t LA SESSOR US NLY `h'$' 4VALUE %"ATt100%.OFjrw tc TVAALUEtJ�± '';3t,5;VALUE15W- `€
Land not exceeding 1 (one)acre immediately 3Q+ ' ; x ,
surrounding residential improvements. (1) -� ' `az" � , 771L '
Other land (2) 4"� 4
-so,e .lam
Total land(line 1 plus line 2) (3)
Dwelling (4) ' � `r „
'Residential improvements or Annually '''^"e'4'' '
Assessed Mobile/Manufactured Home Garage 'ea-tr.'cs. 3'
s,
Vi ; I Other improvements (6) tic i- ,
Taal improvements(line 4 through line 6) (7)
Taal value (line 3 plus line 7) (6)
I hereby certify the above is true,correct,and Signature of Assessor Date signed
complete.
Verifying action-Signature of Auditor \ 1 Date signed(1C(1)
-g+C aI: 4rx ]>»• i �.WAV. .5 ANDARN;DEDUCTION'ALLOWANCEa..s..e..-eapU'r--'z�uenF=''iv..`"'.�+>rg- "`�g�`'.Sa.'._
20 Pay 20
�\ Lesser of 1/2 Homestead 5
a Valuatioonn���or 535.000
tun a nY/A11,/,y(�/. hc/y�,j//^� Dates ed.� r f� `�-0(o